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Biomedical subjects

R Petosa

Publications and source records attributed to R Petosa.

At least 19 recordsLinked to original sources

Why do effective smoking prevention programs work? Student changes in social cognitive theory constructs.

Psychosocial smoking prevention programs can decrease adolescent smoking initiation. This study determined if the theoretical variables targeted in a psychosocial smoking prevention program can be improved significantly by participation in a smoking prevention program. The Social Cognitive Theory constructs examined included behavioral capability to resist positive images of smoking, refusal skill-efficacy, total positive refusal expectations and importance, and total negative refusal expectations and importance. The smoking prevention program had a significant impact on student refusal skill-efficacy and total positive refusal expectations and importance. However, the program did not affect behavioral capability to resist positive images of smoking and total negative refusal expectations and importance. Results from the study can be used to improve the impact of psychosocial prevention programs on targeted Social Cognitive Theory constructs and support the continued practice of cigarette refusal strategy role-plays, addressing various types of pressure and emphasizing positive outcomes from cigarette refusals.

Analysis of Variance↗

Evaluation of a brief intervention based on social cognitive theory to develop problem-solving skills among sixth-grade children.

This study evaluated an intervention based on social cognitive theory (SCT) intended to develop problem-solving skills (PSS) in sixth graders. Psychometrically tested measures were developed for (1) constructs of SCT (situational perception of stressors, expectations of PSS, self-efficacy for PSS, self-efficacy in overcoming barriers, and self control when applying PSS), (2) PSS, and (3) application of PSS to real-life problems. Five classrooms (n = 133) were randomly assigned to the SCT-based intervention and five classrooms (n = 127) to an equivalent knowledge-based intervention. Using a partial nested design, statistically significant improvements for expectations of PSS, self-efficacy for PSS, and PSS were found in the SCT-based intervention. At posttest, 36% of the students in the SCT-based intervention reported applying PSS to real-life problems as compared with 1% in the knowledge-based group. This pilot study suggested that an SCT-based intervention was more efficacious in developing PSS than a knowledge-based intervention.

Adolescent↗

Validation of an instrument for measurement of physical activity in youth.

This study assessed the reliability and validity of the Previous Day Physical Activity Recall (PDPAR), a self-report instrument designed to measure physical activity in youth. Subjects were randomly selected students in grades 7-12. Test-retest reliability was reported as the correlation between estimated relative energy expenditures determined from two PDPAR administrations completed within 1 h. Interrater reliability was determined by two observers using the scoring protocol. Validity was assessed using footstrikes (pedometer), Caltrac activity counts, and heart rate monitoring as criterion measures. Interrater and test-retest reliability was 0.99 and 0.98, respectively (P < 0.01). The correlation between relative energy expenditure from the PDPAR (kcal.kg-1.l.d-1) and pedometer and Caltrac counts was 0.88 (P < 0.01) and 0.77 (P < 0.01), respectively. The correlation between percentage heart rate range (HRmax-HR-rest) and mean energy expenditure from the PDPAR was 0.53 (P < 0.01). The correlation between 1-min heart rates > 50% HRR sustained for 20 min and the number of 30-min blocks with a relative energy expenditure of at least four metabolic equivalent tasks (MET) was 0.63 (P < 0.01). The PDPAR provides valid and reliable estimates of physical activity and also accurately identifies bouts of moderate to vigorous activity.

Adolescent↗

Biracial differences in physical activity and body composition among women.

Overweight among black females is almost two times as frequent as among white females. Genetics, caloric intake, and physical activity have been identified as possible explanatory factors. This study assessed the differences in physical activity and body composition in 76 white and 66 black adult females. Black women had significantly higher (p = .0001) percent body fat (32.2 +/- 7.1) than white women (27.7 +/- 6.5) with a similar difference in weight (4.4 kg) approaching significance (p = .055). Physical activity was assessed using a structured 24-hour recall instrument. A purposive sampling design was implemented to control for age, education and occupation. A summary physical activity value unit for the 24-hour period revealed a significantly greater mean value for white females (41.93 +/- 4.7) than for black females (40.01 +/- 3.9) suggesting white females were more physically active (p = .02) although this was not a function of biracial differences in play/recreation and exercise/sport type of activities. Although both black and white females were found to be sedentary (MET value < or = 2) over 90 percent of the time, black women are significantly more sedentary (p = .03). Biracial differences in discretionary non-exercise oriented activities may contribute to different rates of overweight observed between black and white women.

Adult↗

Using the health belief model to predict safer sex intentions of incarcerated youth.

The purpose of this study was to test constructs of an enhanced version of the health belief model (HBM) in predicting juvenile delinquents' safer sex intentions. An accessible sample (n = 452) of incarcerated youth between the ages of 13-18 years from a midwestern state were subjects. HBM constructs were measured with an instrument tested for face, content, and construct validity as well as internal reliability. HBM constructs accounted for 28% of the variance in safer sex intentions. The results of this study support the use of the HBM in understanding human immunodeficiency virus (HIV) risk behavior in this population. The implications of these results for theory-based HIV prevention among incarcerated youth are presented.

Adolescent↗

Harm reduction: an emerging new paradigm for drug education.

Harm reduction is a new paradigm now emerging in the field of drug education. This strategy recognizes that people always have and always will use drugs and, therefore, attempts to minimize the potential hazards associated with drug use rather than the use itself. The rationale for a harm reduction strategy is presented, followed by an example of the kind of needs assessment which may be needed for planning a harm reduction strategy.

Adolescent↗

Recruitment and retention of schools participating in school health research.

The quality of school health research projects can be enhanced by directing attention to recruitment and retention of schools. Successful recruitment plans go beyond research considerations to address political, economic, educational, and organizational needs of the school setting. Based on recent research, a taxonomy of decision-making procedures characteristic of school districts is presented. The taxonomy provides a framework for designing effective recruitment and retention strategies.

Decision Making↗

Using the health belief model to predict safer sex intentions among adolescents.

The purpose of this study was to use Health Belief Model (HBM) concepts to predict adolescents intentions to adopt safer sex behaviors. A stratified, random sampling technique was used to generate a sample of seventh-, ninth-, and eleventh-grade students representative of a southeastern state. A predictive model was constructed of the HBM variables. The model accounted for 43% of the variance in safer sex intentions among the seventh grade, 27% of the variance for the ninth grade and 17% of the variance for the eleventh grade. For the eleventh grade sample gender was the only significant predictor. The results of this study suggest that educational programs to promote safer sex intentions should focus on health related motivations among younger students. With older adolescents it may be more effective to expand education efforts to address factors directly relevant to their motivational schema and social environment. This study underscores the importance of using theory-based models in conducting health education research.

Adolescent↗

The AIDS education needs of adolescents: a theory-based approach.

The purpose of this study was to conduct an educational diagnosis for AIDS prevention among school age adolescents. The Health Belief Model was used as a conceptual framework to analyze adolescent beliefs that may influence HIV risk behavior. A statewide, stratified random sample of 7th, 9th, and 11th grade students was drawn during the Spring of 1988. Results reveal that adolescents' knowledge of AIDS and HIV transmission is superficial. Many adolescents hold serious misconceptions that could lead to unintentional risk behavior. High levels of fear were reported, yet students clearly misunderstood the seriousness of AIDS. Barriers to preventive actions were identified. Recommendations are made to increase the effectiveness of school-based HIV education.

Adolescent↗

Appropriate use of health risk appraisals with school-age children.

Health Risk Appraisals (HRAs) use personal risk assessment as an educational approach to encourage adoption of positive health-related behavior. An individual's behavior and health history are compared to morbidity and mortality tables to estimate a level of personal risk. Current trends suggest HRAs will continue to be popular with school health educators. Appropriate use of HRAs requires an understanding of the assumptions, interpretations, and limitations of these instruments. This article reviews the development, validity, and reliability of HRA methodology. The educational usefulness of HRAs designed for school-age populations is examined. Recommendations are offered to optimize the instructional benefits of HRAs while minimizing potential deficiencies.

Child↗

Enhancing the health competence of school-age children through behavioral self-management skills.

School health education programs are based on the assumption that health status is influenced by personal health practices. Health instruction cannot have a favorable impact on all factors influencing personal health behavior, so an effort must be made to determine which skills enhance health behavior for most individuals. Self-management skills can help individuals make behavioral changes consistent with their health-related decisions. This article describes several self-management skills and offers suggestions for teaching behavioral self-management.

Child↗

A pilot study of the impact of stress management techniques on the classroom behavior of elementary school students.

Intervention studies have demonstrated the benefit of stress management techniques on health-related variables among school-age children. It was hypothesized that teaching elementary school children stress management skills would promote appropriate classroom study behavior by enhancing student ability to attend to teacher assigned tasks. This pilot study supports the contention that stress management skills can increase classroom "on-task" behavior.

Child↗

Microcomputers in health education: characteristics of quality instructional software.

The potential effectiveness of microcomputer-assisted instruction is based on the availability of quality instructional programs. The following article outlines important characteristics of high quality instructional software. If health educators are discriminating consumers of instructional software they will serve as a significant market force promoting the development of high quality educational programs.

Computers↗

Attributional styles of alcoholics.

This study found that alcoholics in treatment differed significantly from nonalcoholics and recovering alcoholics who had completed at least 1 year of sobriety on 2 subscales of the Attributional Style Questionnaire: on the good outcomes-global and good outcomes-stable. Implications for further research and treatment are discussed.

Adolescent↗

A worksite intervention to enhance social cognitive theory constructs to promote exercise adherence.

UNLABELLED: The results suggest social cognitive theory variables associated with the adoption of exercise are changeable in a brief worksite intervention. Self-regulation techniques and outcome-expectancy value improved, but self-efficacy did not improve for the treatment group. One possible explanation is, the intervention did not adequately address the ability to overcome barriers to exercise faced by participants in the intervention. Another explanation may be the effect of experiencing the barriers to exercise faced by subjects during the first 4 weeks of a self-regulated exercise program. Before engaging in exercise, the participants had a perceived level of confidence to overcome barriers to exercise. Once faced with real barriers to exercise, the subjects may have reevaluated their ability to overcome these barriers. It is interesting that the comparison group reported small decreases in all social cognitive theory variables measured in this study. The comparison group received a program of assessment, instruction, and access to facilities that is common to many worksite-based fitness promotion programs. Clearly, this approach did not have a favorable impact on psychosocial variables associated with exercise adherence. These results may be explained by a reevaluation of beliefs and perceived capabilities to exercise, once faced with the real experiences and barriers related to the adoption of an exercise program. The small decreases in social cognitive theory variables in the comparison group may explain high dropout rates in many fitness center programs and warrant further study. IMPLICATIONS: Health promotion specialists at the worksite need intervention programs that are safe, effective, and efficient for their employees. This intervention was based in the classroom, and no exercise was performed during class. This is appealing to employees who do not have access to shower facilities at the worksite. Moreover, in many interventions, subjects exercise during class and have limited time to learn specific skills to help them adopt and maintain exercise outside the structure of the intervention. Having established favorable changes in social cognitive theory constructs attributable to the intervention, a follow-up study should be conducted to determine the extent to which these changes predict adherence to regular exercise. These studies would establish the causal linkages between social cognitive theory constructs and regular exercise. LIMITATIONS: There were specific limitations, and the results should be interpreted cautiously. The sample size was relatively small, although similar to other exercise intervention research reviewed by Dishman. Another limitation of the sample was no random assignment to treatment or comparison group. The results apply only to the subjects who volunteered for this study. The measure of outcome-expectancy value is the most vulnerable of those used to measure outcome expectations and outcome expectancies. It is possible that the results of the study would be substantially altered if a better measure were available. The data were collected through self-administered questionnaires. It was assumed the subjects would provide accurate information, but reliance on self-reported data introduces potential sources of error.

Adult↗